BP6019BUILDING PERMIT APPLICATIOrI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 6 019
(402) 426-4191 Permit
t ~
Application Date: g,-- j. c/y Issue Date: `~ p ~ "~ ~ Permit Fee: $ ~ ~ -
JOB ADDRESS
LEGAL
1 ' DESCR. LOT N0. BLK. TRACT
^ SEE ATTACHED SHEET
2. OWNER ~C, \ ~///~CC/ MAILADDRESS
1 ~X ~3 ~ICC //'~
ZIP ~~~~ JS ~ rP~ONE
3. CONTRACTOR ,r\~~~t,/ ~~ G ~I AIkADDRESS
rC rill rC,. J /"/~~
U NE ~ j_ ~~~ ^~ EN~ 0.
USE OF BUILDIN
G
4.
5. Class of Work: ^ NEW ^ ADDITION ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ _ '~ ~i /~ 0 ~ ~~il' `- C f[ C ~"
7. Sq. FOOtage of StrUCtUre (Including Basement and Garage):
8. Change of Use From: Change of Use To:
g, Valuation of Work: $ ~" p~Cj , (') C~
10. Floodplain: Flooawey Yes ^ No ^ Dev. Permit
Fringe Yes^ No ^ BFE Elev. Cert.
11. Current Zoning: l'e L~
12. State Fire Marshall Required: Yes ~ No^
13. Special Use Permit Required: Yes ^ No
14. Variance Required; Yes^ No~
15. Minimum Setbacks; Front l Side _~ Rear /
16. Sidewalk Required: Yes ^ No [~] Waiver Approved
APPL~~~~ EFyT~~/ BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separat permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee does not constitute issuance of this building permit. I further
agree that construction covered by this permit application shall not be commenced until I
have received a copyof this application form signed bythe Building Inspector and stamped
'APPROVED'.
I hereby agree to perform the proposed work in accordance with the specifications set forth
above and in acco ce with the codesJordinances of the Ciry of Blair and the State of
Nebraska. I un st d that this permit is void if work is not commenced within 180 days
or is not com to ithin 2 years of date of issue.
~~
SIGNATUR 0 WNER~CONTRAOTOR OR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
Site Plan Attached Complete Plans Attached ^
Approximate Co pletion Date ~1U y l / ~ `~ ~
Inspections Required and Fees
Sewer Tap ~ Utilities
Water Tap '~
Sewer / Water Service
Septic Remote
Building
Footings Drywall
(before finish)
A/~Z3-QS'
Framing Final
Electrical
Rough-in Fixtures
Final Permanent Service
Temporary Service
Mechanical
Rough-in ABC
Final
Ground Work y Plumbing
Rough-in a/ Final +~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approv d
'OUNDS PRTG: BIeIr, NE Rev. 10/9
BUILDING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 5 4 71
(402) 426-4191 Permit
Application Date: ~ ! ~ ' ~~ Issue Date: ~ ' ~ ~ ~ ~ Permit Fee: $ ~C) .C~
JOB ADDRESS ~ „ ~ ~ ~~ ~ ~ I .
T
G
LEGAL
1 ' DESCR. LOT N0. BLK. TRACT
^ SEE ATTACHED SHEET
2. OWNER
~~c I~ I~-t ll cv MAIL ADDRESS ZIP PHONE
,3' CONTRACTOR
~~~~ MAILADDRESS PHONE LICENSE NO.
4. USE OF BUILDING
5. Class of Work: ^ NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~ ~,~/~ J r-m ~ ~~ ~C ~~~ ~~ ~~E~~ cj ~-~
7. Sq. Footage of Structure ~md~dlnyeaSamaMaRdcara9a):
$. Change of Use From: Change of Use To:
g, Valuation of Work: $ ~ ~ ~l(~U
Floodway Yes^ No ^
10. Floodplain: Fringe Yes^ No ^ Dev.Permil
BFE EIev.Cert.
11. Current Zoning:
12. State Fire Marshall Required: Yes ^ No^
13. Special Use Permit Required: Yes ^ No ^
14. Variance Required: Yes ^ No ^
15. Minimum Setbacks: Front Side Rear
16. Sidewalk Required: Yes^ No ^ Waiver Approved _
Site Plan Attached ^ Complete Plans Attached ^
Approximate Completion Date
Inspections Required and Fees ~~
Utilities
Sewer Tap Water Tap
Sewer Water S
Septic Remote
I APPbICA~~~ACCEPr T~EDJBY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY I
/ NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee does not constitute issuance of this building permit. I further
agree that construction covered by this permit application shall not be commenced until I
have received a copy of this application form signed bythe Building Inspector and stamped
'APPROVED'.
I hereby agree to perform the proposed work in accordance with the speafications set forth
above and in accordance with the codes~ordinances of the City of Blair and the State of
Nebraska. erstand that this permit is void if work is not commenced within 180 days
or is not mpl fed within 2 years of date of issue.
SIGNAT~IRE OF OWNERJCONTRACTOR OR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
= Drywall
(before finish)
Framing Final
P Electrical j~ o~o~o~ . - /yl~. /~r/!dl(at
~ ~ / ~ WCJ~3 ~!a do o~n
Rough-in /~-c.~-t.>*vt~ Fixtures
Final ~ ~ - ~ ~~ ~~M
Permanent Service
Temporary Service
e Mechanical
Rough-in ~~,rr~ ABC
Final ~
Ground Work Plumbing
Rough-in ~ ~rn-t~n~. Finaf ~~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Appr d y
SOUNDS PRTG: BIaIr, NE Rev. 10181
i
;'
City of Blair
218 South 16th
Blair, Nebraska 68008
40~-426-4191
~i ~
°~' a
• o~ V\
~ promise
July 27, 1993
Rick Hillman
523 N. 23rd St.
Blair, NE 68008
Dear Mr. Hillman,
The extension you requested on your building permit for the
residence located at 523 N. 23rd Street expired on July 1, 1993.
Please be aware that you must now renew your building permit
or contact Bill Wilson for a final inspection of your project. You
may reach him at the above number between 8:00 a.m. and 10:00 a.m.,
Monday through Friday to arrange this inspection.
Thank you for your cooperation in this matter.
Sincerely,
Brenda Taylor
City of Blair
City of Blair
218 South 16th
Blair, Nebraska 68008
402-426-4191
~^
. ~ ~ promise
~,
O
~J
March 11, 1993
Rick Hillman
523 N. 23rd St.
Blair, NE 68008
Dear Mr. Hillman,
This is to notify you that the building permit you were
issued on March 8, 1991, has now expired.
Please be aware that you must either obtain a renewal on
this permit or discontinue any building or construction you may
be doing at 523 N. 23rd Street. If you have completed this
project, please contact Bill Wilson at 426-4191 for a final
inspection.
If you have any questions, please contact our office. Thank
you for your cooperation in this matter.
Sincerely,
J ~OY~.
Brenda Taylor
City of Blair